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Master Thesis

Influence des admissions en service inadéquat sur la durée moyenne de séjour hospitalière‎

Abstract : Emergency departments overcrowding is increasingly common over the past two decades. This phenomenon is very much linked to the access-block as defined by Anglo-Saxons, defined by a prolonged emergency department stay related to a lack of hospitalization beds downstream. In case of high occupancy rates in the wards , it is common to hospitalize a patient in an inappropriate ward. This single center retrospective study aims to evaluate the influence of inappropriate admissions on the average inpatient length of stay . Records of 2514 patients admitted within 3 months by Chambery's hospital's emergency department were analyzed according to the ideal orientation chosen by the physicians of the department and to their actual orientation. Emergencies department lenght of stay were also analyzed. The average length of stay of patients admitted in proper orientation was 7.36 d against 7.91 d (p = 0.09) for those oriented in inappropriate wards. Emergency department lenght of stay were significantly different in favor of the appropriate group. This study does not confirm the existence of an influence of these inappropriate admissions to the inpatient lenght of stay. However the trend is towards shorter stays in cases of appropriate admission. It seems therefore interesting to examine the issue more thoroughly.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00619167
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Submitted on : Friday, October 18, 2013 - 6:15:45 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:03 AM
Long-term archiving on: : Tuesday, December 6, 2011 - 2:26:20 AM

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  • HAL Id : dumas-00619167, version 1

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Marc Latappy. Influence des admissions en service inadéquat sur la durée moyenne de séjour hospitalière‎. Médecine humaine et pathologie. 2011. ⟨dumas-00619167⟩

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